Determining the anxiety and depression levels of pre-dialysis patients in eastern Turkey

Cantekin, Işın; Cürcani, Mehtap; Tan, Mehtap

doi:10.3109/0886022x.2014.890009

Cited by 14 publications

(12 citation statements)

References 16 publications

(14 reference statements)

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“…In Turkey, prevalence of anxiety was found to be 53.4% in pre-dialysis CKD patients. 10 InUS hemodialysis patients, anxiety was found by structured interview in 27%-45.7% of patients, 11 , 21 whereas in China and Saudi Arabia , anxiety was found in 36.9% 12 and 21.1% 13 in hemodialysis patients. In local studies, anxiety was present in 34.9%-42.7% of hemodialysis patients by HADS scale.…”

Section: Discussionmentioning

confidence: 99%

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A comparison of anxiety and depression between pre-dialysis chronic kidney disease patients and hemodialysis patient susing hospital anxiety and depression scale

Shafi¹,

Shafi²

2017

Pak J Med Sci

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Objective:Tocompare frequency of anxiety and depression between pre-dialysis chronic kidney disease (CKD) and hemodialysis patients (ESRD) in Pakistan.Methods:This study was conducted in an out-patient department and hemodialysis unit of Sharif Medical City Hospital. Inclusion criteria included age above 18 years and a diagnosis of CKD including both pre-dialysis CKD and ESRD patients. Patients were screened for anxiety and depression using hospital anxiety and depression scale (HADS).Results:A total of 156 patients were included in the study. Out of these patients, 81 (51.9%) had ESRD and 75 (48.1%) had pre-dialysis CKD. Mean age of all patient was 47.3±18.3 years, 96 (61.5%) were males and 60 (38.5%) were females. Median duration of renal disease was 16 months (IQR 8-36 months). Anxiety and depression were present in 111 (71.2%) and 113 (72.4%) of all patients respectively. Moderate to severe anxiety and depression were present in 54 (34.6%) and 60 (38.5%) patients respectively. In multiple logistic regression model, after adjusting for other variables, ESRD vs. pre-dialysis CKD was significantly associated with moderate to severe depression (AOR 2.26 (1.1-5.1).Conclusion:Both anxiety and depression are common in pre-dialysis CKD and ESRD patients. Patients with ESRD have higher frequency of depression compared to pre-dialysis CKD patients.

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Section: Discussionmentioning

confidence: 99%

“…9 Prevalence of anxiety has been found to be 21.1%-53.4% in hemodialysis and pre-dialysis CKD patients. 10 – 13 In local studies, anxiety was present in 34.9%-42.7% of hemodialysis patients. 6 , 7…”

Section: Introductionmentioning

confidence: 99%

A comparison of anxiety and depression between pre-dialysis chronic kidney disease patients and hemodialysis patient susing hospital anxiety and depression scale

Shafi¹,

Shafi²

2017

Pak J Med Sci

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“…This study shows the presence of psychopathological problems before patients are started on dialysis. [18] Sleep disorders are among the factors that can reduce the quality of life in patients with CKD. The prevalence of sleep disorders among CKD patients has been estimated to be around 41% to 83% by questionnaire-based studies, the most frequent complaints being difficulty in falling asleep, difficulty in maintaining sleep, daytime sleepiness, and fatigue.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Aggarwal

Jain

Dabas

et al. 2017

Prilozi

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Background: Chronic kidney disease (CKD) is an emerging health problem in both developed and developing countries. Depression, anxiety and sleep disturbances are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patients' health. Assessment of key components of mental health early in disease course will help to identify high risk subjects in whom modifying these predictors will help in providing active and healthy life in CKD patients. Methods: We did a cross sectional study in 200 patients of CKD stage III to V-D fulfilling the eligibility criteria who were on follow up in a single tertiary care center in the state of Haryana, India. We assessed the prevalence of anxiety, depression and insomnia and their correlation with demographic variables in these patients. The structured questionnaire used in this study gathered information on respondent demographic and disease characteristics, and information obtained from the HADS and PSQI questionnaire. Factors associated with anxiety, depression and insomnia were examined by a multiple logistic regression analysis. results: The prevalence of anxiety, depression and insomnia were found to be 71%, 69% and 86.5% respectively. As the CKD stage advanced, the prevalence as well as severity of these parameters increased. Anxiety, depression and sleep quality were found to be significantly correlated to unemployment, low income, low education, urban residence and presence of co-morbidities. The anxiety, depression and insomnia scores were found to have a strong negative correlation with eGFR, hemoglobin, serum calcium (p <0.01) and a positive correlation with TLC, blood urea, serum creatinine and serum phosphate (p <0.05). conclusion: We observed a high prevalence of anxiety, depression and insomnia in CKD patients. There is a need to develop strategies to accurately identify "high risk" subjects who may benefit from preventive measures before complications occur. By identifying CKD patients with high risk of developing these mental health related issues, healthcare provider may be better able to ensure the provision of appropriate rehabilitation to this population.

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“…Burden of psychological symptoms was comparable among all CKD groups. The psychological stressors in patients not undergoing dialysis might be explained by the early and growing impact of the complexity of CKD treatment on coping mechanisms, roles in the family, social support, reduced physical function, sexual dysfunction and impending dialysis treatment (Cantekin et al 2014). Given the high burden of psychological symptoms among patients not on dialysis, psychologists or counsellors should also be involved in multidisciplinary teams for this group.…”

Section: Implications For Practicementioning

confidence: 99%

Which Patients With Chronic Kidney Disease Have the Greatest Symptom Burden? A Comparative Study of Advanced CKD Stage and Dialysis Modality

Almutary

Bonner

Douglas

2016

Journal of Renal Care

120

152

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In CKD, symptom burden is better understood when capturing the multidimensional aspects of a range of physical and psychological symptoms. Fatigue, pain and sexual dysfunction are key contributors to symptom burden, and these symptoms are often under-recognised and warrant routine assessment. The CKD-SBI offers a valuable tool for renal clinicians to assess symptom burden, leading to the commencement of timely and appropriate interventions.

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Determining the anxiety and depression levels of pre-dialysis patients in eastern Turkey

Abstract: This study shows the presence of psychopathological problems before patients are started on dialysis. Therefore, nurses may alleviate pre-dialysis patients' fears and provide the necessary support to cope with anxiety and depression, thereby raising the patients' quality of life.

Cited by 14 publications

References 16 publications

A comparison of anxiety and depression between pre-dialysis chronic kidney disease patients and hemodialysis patient susing hospital anxiety and depression scale

A comparison of anxiety and depression between pre-dialysis chronic kidney disease patients and hemodialysis patient susing hospital anxiety and depression scale

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Which Patients With Chronic Kidney Disease Have the Greatest Symptom Burden? A Comparative Study of Advanced CKD Stage and Dialysis Modality

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